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HomeMy WebLinkAboutPermit Electrical 2001-02-26SPFINGFIELD Job# 01-00161-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page I of 2 Job Number: 01-00161-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 11800 Subdivision: €n 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1324 parker Rd Spr AssessorsMap#: 17032533 Lot: Block: Addition: ctTY oF SPRINGFIELD, OREGOTV Owner: Eddie Stianson Address: 1140 TrailAve Scope Of Work: Electrical Only Service change & one circuit. Phone Number: City/State/Zip: Alteration 541 -688-1 078 Eugene, OR 97404 Value: $O Contractor Type Electrical Contr Contractor New Way Electric lnc Po Box 21503, Eugene, OR 97402-0409 Registration # 51 088 Expiration Date 6t27t2001 Phone 541-686-2365 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group Heat Source: Sq. Footage: To request an inspection callthe 24hour recording a|726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Electrical Rough Electrical Electrical Service Final Electrical Construction Types Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: -Prior to cover. -Must be approved to obtain permanent power, -When all electrical work is complete. # Of Stories: Height (feet): Current Units: Proposed Units Census Code: Does not apply Accessory:Total: Job# 01-00161-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 02t26t2001 0212612001 02t26t2001 0212612001 4547 4547 4547 4547 1 1 $s0.00 $2.00 $3.64 $1.56 $s7.20 Grand Total $57.20 Signature Date SPRI IELO 7 Df,Tt: FEE ?fr ?001 AHI RECD:? $ 5?,M- CHANEE: IAEHIE(: OO] 225 FIFTB STREET SPRINGFIELD OREGON 974 INSPECf,ION REQITEST:. 72 DateOFFICE: 726-3759 Authorized Srgnatute 1.0 JOB DESCRIPTION Pe rmi ts are non-trans f.erable and exPire if vork is of issuanc 180 daYs. not started vithin 180 daYs e or if vork is suspended for 2.COMRASTOR INSTALI.'ATION ONLY Electri Address ca1 Contractor, cit vnon"!j!!f8123b5 Super sor License Number Expiration Date - 0/-a Constr Contr' Number I Expiration Date,-s sing Electrician Owners Name Address A. Nev Residential-Single or uuiti-f"riIY Per dvelling unit' Service Included: SCffiDTIIJ BELOS I tems APPLICATION Cos t $ Bs.oo $ 1s.00 $ 40.00 $ so.oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Sum Ci tY INSTALLATION The installation is being made on DroDerty i """-"t'i"t' i" iot intended ior'saIL, Iease or rent' I0u::jIIHXUI : i5i"ifffiners Signature:iti'i'j ,$ i: riJlri l.i.lu TOOT l,t,Et rl? CI./tr lJ DATE: 1000 sq.ft. or less nach additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less i 2Ol- amPs to 400 amps - 40i- amPs to 600 amps - 601 amPs to 1000 SmPs- over 1b00 amPs/volts - Reconnect 0n1Y SUBTOTAL OF ABOVE 7% State Surcharge :Z eaminlstrative Fee TOTAL TemoorarY Services or Feeders -i;;Uii;ii"rl aii"ration or Rerocation Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional-!it;:::":'r:il1,'""t""/ $ 2'oo '4!o Miscellaneous (Service/feeder not included) _Each installation s 40.09 PumD or irrigatll*'"zo",i;;;'Li;hiins- $ 40'oo Limited EnergYzil'es -- $ 20'oo B 5o.o o -6 /200 amPs"or less $ 40'00 201 amPs to 400 amPs - S 55'00 Over 401 to 600 aryP!^---------.. S 80'00 0ver 600 "*pl-ot-rbOO-'oTT= see "8" D. Branch Circuits C. E a6o?e vnonu)/5dl2L 5 CITY OF OREGON RBCEIVED BY: _co L 7 I.AGAI DESCRIPTION /7a3 2f 1." //fta-o 3) '1. l.' I i:lr i .i , .l l ! : TOIAL DUE RECEIVED FROl'l: l.lEt,li I{AY ELECTRIC CHECl(: TOTAL TII'IDTRFD C|.iAl'lGE t}Ui ;; *Pay , ame *l'lai I AdCr xCtyi/St r1 *Site Addi :NEhl t4AY Ett0lRII :P0 BOX 21503 : EU(]EiJT 0R 97402 :1324 PARI{ER SI IHAHK YOI-,!t tt!l